Vicente C Florida Md Pa

NPI 1154519791 - Internal Medicine - 207R00000X

NPI Details
NPI 1154519791
Enumeration Date 10/09/2007
Last Updated 11/02/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name VICENTE C VICENTE
Position PRESIDENT/OWNER
Phone (321) 267-4700
Fax (321) 747-0347
Practice Location
1309 GARDEN ST
TITUSVILLE FL, 32796-2548, US
Phone (321) 267-4700
Fax (321) 747-0347
Business Location
PO BOX 339
TITUSVILLE FL, 32781-0339, US
Phone (321) 267-4700
Fax (321) 747-0347
Toxanomy
Taxonomy Code 207R00000X
License State Florida
License Number ME0071351
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According to our database, Vicente C Florida Md Pa NPI is 1154519791, taxonomy code is 207R00000X and license number is ME0071351, license state is located at Florida. Vicente C Florida Md Pa physically located at 1309 Garden St, Titusville FL, 32796-2548. NPI Number 1033115704 has the healthcare provider type.

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1154519791 NPI number is provided on an as is basis without warranty of any kind. 1154519791 is maintained by the National Plan & Provider Enumeration System. The contents of Vicente C Florida Md Pa are for informational purposes only.